Individual provider Active NPI

Zachary Lee Mattingly, AUD

  • Audiologist
  • Louisville, KY
National Provider Identifier
1518855014
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002916A Issued in IN
Practice address
2944 Breckenridge LN
Louisville, KY 40220-1409
Phone
(502) 893-0159
Fax
(770) 615-6091
NPI assigned
Jun 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002916A IN Primary
Audiologist 231H00000X 299542 KY

Addresses

Primary practice location

2944 Breckenridge LN
Louisville, KY 40220-1409

Mailing address

500 Northridge Rd Ste 400
Atlanta, GA 30350-3314
Phone (470) 508-5343

Other practice location 1

108 W Daisy Ln
New Albany, IN 47150-4537
Phone (502) 893-0159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250719000099 KY Practitioner - Qualified Audiologist 9931615788 Reassigns benefits to 1 organization
I20251013003727 IN Practitioner - Qualified Audiologist 9931615788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Louisville Medical College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced ENT and Allergy PLLCGroup PAC ID 2769525385, 37 clinicians

Practice addresses (Care Compare)

108 W Daisy LN
New Albany, IN 47150-4537
Phone 50289301591188

2944 Breckenridge LN
Louisville, KY 40220-1409
Phone 50289301591188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299542KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Anesthesia PLLC CurrentSince Aug 1, 2025 Accepting new patients
Advanced ENT and Allergy PLLC Audiologist CurrentSince Jul 1, 2025 Accepting new patients

Locations

500 Northridge Rd
Ste 400
Sandy Springs, GA 30350
Phone (470) 508-5343

2125 State St
Ste 6
New Albany, IN 47150
Phone (812) 945-3557

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

1725 Gagel Ave
Louisville, KY 40216
Phone (502) 995-5525

2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1518855014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NORTHRIDGE RD STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303503314",
            "telephone_number": "470-508-5343",
            "fax_number": "770-615-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-893-0159",
            "fax_number": "770-615-6091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W Daisy Ln",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504537",
            "country_code": "US",
            "telephone_number": "502-893-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "ZACHARY",
        "middle_name": "LEE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002916A",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "299542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.